Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.89 / $102.24 / $168.11	Facility		$72.89	$102.24	$168.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.69 / $98.12 / $194.64	Professional		$63.69	$98.12	$194.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $96.58 / $221.38	Professional		$76.45	$96.58	$221.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $97.21 / $97.21 / $4,050.00	Facility		$97.21	$97.21	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $97.21 / $97.21 / $137.79	Professional		$97.21	$97.21	$137.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.71 / $116.71 / $14,648.00	Facility		$116.71	$116.71	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.43 / $127.65 / $319.64	Professional		$74.43	$127.65	$319.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $105.35 / $332.00	Facility		$65.00	$105.35	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $109.74 / $155.57 / $229.57	Professional		$109.74	$155.57	$229.57
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.24 / $94.24 / $94.24	Facility		$94.24	$94.24	$94.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.64 / $101.62 / $210.89	Professional		$79.64	$101.62	$210.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $116.71 / $555.00 / $597.00	Facility		$116.71	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $74.43 / $136.38 / $318.47	Professional		$74.43	$136.38	$318.47
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.86 / $120.64 / $301.41	Professional		$86.86	$120.64	$301.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $81.64 / $81.64 / $315.22	Facility		$81.64	$81.64	$315.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $81.08 / $131.33 / $210.89	Professional		$81.08	$131.33	$210.89